tci General Surgery Coding Alert - 2010 Issue 4

Reader questions: Solve Flaps and Grafts Together

Question: The surgeon excised a basal cell carcinoma from the patient's right ear. To close the wound, the surgeon inserted a tubed pedicle flap that didn't match the size of the defect. He then performed a Z-plasty to cover the remaining defect. Can I bill for both the pedicle flap and the Z-plasty? Utah Subscriber Answer: Yes. As long as the documentation supports it, you can bill 14060 (Adjacent tissue transfer or rearrangement, eyelids, nose, ears, and/or lips; defect 10 sq cm or less) and 15576 (Formation of direct or tubed pedicle, with or without transfer; eyelids, nose, ears...

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